NPI | 1376901421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103K00000X Behavior Analyst (Licence: FL 1-22-63397) |
Additional Taxonomies | 106E00000X Assistant Behavior Analyst (Licence: FL 0-16-7561) |
Enumeration Date | 2016-02-04 |
Last Update Date | 2023-01-10 |